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Clinical Evaluation Techniques for Injury Risk Assessment in Elite Swimmers: A Systematic Review.


ABSTRACT:

Context

Evidence concerning a systematic, comprehensive injury risk assessment in the elite swimming population is scarce.

Objective

To evaluate the quality of current literature regarding clinical assessment techniques used to evaluate the presence and/or development of pain/injury in elite swimmers and to categorize objective clinical assessment tools into relevant predictors (constructs) that should consistently be evaluated in injury risk screens of elite swimmers.

Data sources

PubMed, Embase, Scopus, CINAHL, SPORTDiscus, PEDro, and the Cochrane Library Reviews were searched through September 2018.

Study selection

Studies were included for review if they assessed a correlation between clinic-based objective measures and the presence and/or development of acute or chronic pain/injury in elite swimmers. All body regions were included. Elite swimmers were defined as National Collegiate Athletic Association, collegiate, and junior-, senior-, or national-level swimmers. Only cohort and cross-sectional studies were included (both prospective and retrospective); randomized controlled trials, expert opinion, and case reports were excluded, along with studies that focused on interventions, performance, or specific swim-stroke equipment or technology.

Study design

Systematic review and qualitative analysis.

Level of evidence

Level 3.

Data extraction

PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were utilized at each phase of review by 2 reviewers; a third reviewer was utilized for tie breaking purposes. Qualitative analysis was performed using the Methodological Items for Non-Randomized Studies (MINORS) assessment tool.

Results

A total of 21 studies assessed the presence and/or development of injury/pain in 3 different body regions: upper extremity, lower extremity, and spine. Calculated average MINORS scores for comparative (n = 17) and noncomparative (n = 4) studies were 18.1 of 24 and 10.5 of 16, respectively. Modifiable, objectively measurable injury risk factors in elite swimmers were categorized into 4 constructs: (1) strength/endurance, (2) mobility, (3) static/dynamic posture, and (4) patient-report regardless of body region.

Conclusion

Limited evidence exists to draw specific correlations between identified clinical objective measures and the development of pain and/or injury in elite swimmers.

SUBMITTER: Schlueter KR 

PROVIDER: S-EPMC7734355 | biostudies-literature | 2021 Jan/Feb

REPOSITORIES: biostudies-literature

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Publications

Clinical Evaluation Techniques for Injury Risk Assessment in Elite Swimmers: A Systematic Review.

Schlueter Kaitlyn R KR   Pintar Joshua A JA   Wayman Katherine J KJ   Hartel Lynda J LJ   Briggs Matthew S MS  

Sports health 20200710 1


<h4>Context</h4>Evidence concerning a systematic, comprehensive injury risk assessment in the elite swimming population is scarce.<h4>Objective</h4>To evaluate the quality of current literature regarding clinical assessment techniques used to evaluate the presence and/or development of pain/injury in elite swimmers and to categorize objective clinical assessment tools into relevant predictors (constructs) that should consistently be evaluated in injury risk screens of elite swimmers.<h4>Data sou  ...[more]

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